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<html lang="zh-CN">
<head>
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	<title>督查信息上报</title>
</head>
<body>

<%@include file="/common/header.jsp" %>
<h5 align="left" ></h5>
<div align="center">
	<div class="panel panel-default" style="width: 99%;" align="center">
		<div class="panel-heading">
        	<h4 class="panel-title" align="left"><b>督查管理  &gt;&gt; 督查上报</b></h4>
      	</div>
      	<div class="panel-body">
			<form class="form-horizontal" role="form">
				<h5 align="left" ></h5>
            	<fieldset>
                 	<legend>督  办  事  件</legend>
                 	<div class="form-group">
	                  	<label for="disabledSelect"  class="col-sm-1 control-label">事件名称</label>
	                  	<div class="col-sm-8">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">&nbsp;</label>
					</div>
                	<div class="form-group">
                  		<label class="col-sm-1 control-label" for="ds_name">事件单位</label>
                  		<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
                  		</div>
                  		<label class="col-sm-1 control-label" for="ds_name">事件分类</label>
                  		<div class="col-sm-2">
                  			<select class="form-control input-sm">
                  				<option value="-1">请选择</option>
                  				<option value="0">非法生产</option>
                  				<option value="1">非法经营</option>
                  			</select>
                  		</div>
                  		<label class="col-sm-1 control-label" for="ds_name">媒体曝光</label>
                  		<div class="col-sm-2">
	                     	<select class="form-control input-sm">
                  				<option value="-1">请选择</option>
                  				<option value="0">名称</option>
                  				<option value="1">中央级</option>
                  				<option value="2">省级</option>
                  				<option value="3">市级</option>
                  				<option value="4">其他</option>
                  			</select>
                  		</div>
                  		<label class="col-sm-1 control-label" for="ds_name">报道截图</label>
                  		<div class="col-sm-2">
						    <input type="file" id="exampleInputFile">
                  		</div>
               		</div>
               		<div class="form-group">
               			<label class="col-sm-1 control-label" for="ds_name">事件来源</label>
                  		<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
                  		</div>
                  		
                  		<label class="col-sm-1 control-label" for="ds_name">网址</label>
                  		<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
                  		</div>
                  		<label class="col-sm-1 control-label" for="ds_name">办理事情况</label>
                  		<div class="col-sm-2">
	                     	<select class="form-control input-sm">
                  				<option value="-1">请选择</option>
                  				<option value="0">未办结</option>
                  				<option value="1">正在办理</option>
                  				<option value="2">跟踪管理（附件）</option>
                  				<option value="3">已办结（附件）</option>
                  			</select>
                  		</div>
                  		<label class="col-sm-1 control-label" for="ds_name">办理材料</label>
                  		<div class="col-sm-2">
	                     	<input type="file" id="exampleInputFile">
                  		</div>
               		</div>
                 	<div class="form-group">
	                  	<div align="center" ><label for="disabledSelect"  class="col-sm-1 control-label">事件内容</label></div>
	                  	<div class="col-sm-8">
							<textarea  class="form-control input-sm" id="ds_name" rows="3" placeholder="事件的时间、地点、原因、处理情况、结果、问责情况、下步打算（200字以内）。"></textarea>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">&nbsp;</label>
					</div>
            	</fieldset>
            	<h5 align="left" ></h5>
            	<fieldset>
                 	<legend>追究责任情况</legend>
                 	<div class="form-group">
	                  	<div class="col-sm-9" align="left"><label class="col-sm-2 control-label" for="ds_name">责任追究情况</label></div>
	                  	<div class="col-sm-3">
							<input class="form-control input-sm" id="ds_name" type="text" placeholder="填写问责单位"/>
	                  	</div>
					</div>
                	<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">单位名称</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">追究情况</label>
	                  	<div class="col-sm-2">
	                     	<select class="form-control input-sm">
                  				<option value="-1">请选择</option>
                  				<option value="0">限期整改</option>
                  				<option value="1">责令检查</option>
                  				<option value="2">通报批评</option>
                  				<option value="3">其他</option>
                  			</select>
	                  	</div>
	                  	<div class="col-sm-6">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="请填写单位追究情况"/>
	                  	</div>
					</div>
					<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">单位名称</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">追究情况</label>
	                  	<div class="col-sm-2">
	                     	<select class="form-control input-sm">
                  				<option value="-1">请选择</option>
                  				<option value="0">限期整改</option>
                  				<option value="1">责令检查</option>
                  				<option value="2">通报批评</option>
                  				<option value="3">其他</option>
                  			</select>
	                  	</div>
	                  	<div class="col-sm-6">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="请填写单位追究情况"/>
	                  	</div>
					</div>
					<div class="form-group">
	                  	<div class="col-sm-9" align="left"><label class="col-sm-2 control-label" for="ds_name">责 任人追 究</label></div>
	                  	<div class="col-sm-3">
							<input class="form-control input-sm" id="ds_name" type="text" placeholder="填写问责个人"/>
	                  	</div>
					</div>
                	<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">姓名</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">职务</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">党纪处分</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">网格长</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
					</div>
					<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">行政处分</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">下沉人员</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
					</div>
					<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">姓名</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">职务</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">党纪处分</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">网格长</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
					</div>
					<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">行政处分</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">下沉人员</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
					</div>
					<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">姓名</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">职务</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">党纪处分</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">网格长</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
					</div>
					<div class="form-group">
	                  	<label class="col-sm-1 control-label" for="ds_name">行政处分</label>
	                  	<div class="col-sm-2">
							<input class="form-control input-sm" id="ds_name" type="text"/>
	                  	</div>
	                  	<label class="col-sm-1 control-label" for="ds_name">下沉人员</label>
	                  	<div class="col-sm-2">
	                     	<input class="form-control input-sm" id="ds_name" type="text" placeholder="msh"/>
	                  	</div>
					</div>
            	</fieldset>
                <h5 align="left" ></h5>
                <button type="button" class="btn btn-primary ">&nbsp;&nbsp;<b>确定</b>&nbsp;&nbsp;</button>
			</form>
		</div>
	</div>
</div>
</body>
</html>


